Endoscopic treatment of a pancreatic abscess originating from biliary pancreatitis.
We present a case report of a patient with two large pancreatic abscesses and an associated colonic fistula originating from acute gallstone pancreatitis, which we treated endoscopically. The common bile duct stones were extracted after a papillotomy. The abscess in the pancreatic head was drained into the duodenum and the one in the pancreatic tail irrigated through a nasopancreatic catheter using normal saline mixed with gentamycin. The colonic fistula was finally obliterated using a two-component fibrin glue.
Brückner
M
M
Abteilung für Endoskopische Chirurgie, Universitäts Krankenhaus Eppendorf, Hamburg, Federal Republic of Germany.
Grimm
H
H
Nam
V C
VC
Soehendra
N
N
D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D002769:Cholelithiasis / Q000150:complications* / Q000000981:diagnostic imaging; D003108:Colonic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D004322:Drainage / Q000379:methods; D016145:Endoscopy, Digestive System; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D007507:Therapeutic Irrigation / Q000379:methods
D015718:Fibrin Tissue Adhesive